Follow the prompts below to schedule your genetic counseling appointment!
Some U.S. states have genetic counseling licensure—and some do not.
Which states have genetic counseling licensure?
AL, AR, CA, CT, DE, ID, IA, IL, IN, GA, KY, LA, MA, MN, NE, NJ, NM, NH, ND, OH, OK, PA, SD, TN, UT, VA, WA.
Don't see what you're looking for or have other questions? Contact us and we'll get right back to you!
Test Type Ordered * Cancer Genetics Consult
This appointment type is specifically for patients who have had hereditary cancer testing done through ArtemisDNA and have received a positive result. Your genetic counselor will ask you about your personal and family medical history, with a focus on cancer diagnoses. This background helps your genetic counselor to understand your results in context. Your genetic counselor will also discuss with you how your results may impact your medical management recommendations.
Requestor * Any AvailableAndrie Klass, MS, CGCEleanor Griffith, MS, CGCHeather Wetzel, MS, CGCKristin Gambin, MS, CGCNishaat Hussainbhoy, MS, CGCNori Williams, MS, CGCShanna Seigel, MS, CGCTiana Grgas, MS, CGC
Desired Date/Time of Session *
Patient Name *
Patient Phone *
Patient Email *
What is your Date of Birth? *
Which sex were you assigned at birth? * MaleFemaleOther
What are your pronouns? * he/his/hisshe/her/hersthey/their/theirsOther
What is your race/ethnicity? (This is important for some risk assessments and genetic testing options and not for others.) If you check more than one option, please indicate what your best guess is as to % of ethnicity. Northern EuropeanSouthern EuropeanAshkenaziSephardic or other Jewish ancestryAfrican AmericanAfricanHispanicSouth AsianEast AsianNative American or Pacific IslanderOtherI don't know!Prefer not to answer
Do you have a family (or personal) history of any of the following cancers? BreastOvarianColonEndometrial (Uterine)PancreaticStomachProstateRenal (Kidney)Other Cancer Type
Please provide the relative(s)’s relationship to you, age at diagnosis, cancer sub-type and/or pathology information if available. Please also comment if any have had clinical grade genetic testing done.
Please comment on anything checked above and provide any other information about your personal or family health history you think it may be important for your genetic counselor to know.
Please upload copies of any genetic testing results. *
Please upload any other genetic testing results or records that may be relevant here.
Many prospective genetic counseling students look for opportunities to shadow genetic counselors. Would you be willing to have a student shadow your telehealth genetic counseling appointment? * YesNo
In which state will you be located at the time of your appointment? *
I AM ACKNOWLEDGING THAT I HEREBY CONSENT TO RECEIVING GENETIC COUNSELING SERVICES THROUGH TELEHEALTH UNDER THE TERMS DESCRIBED ABOVE.
I AM ACKNOWLEDGING THAT I HAVE RECEIVED THE NOTICE OF PRIVACY PRACTICES.
I AM AGREEING THAT I HAVE READ, UNDERSTOOD AND AGREE TO THE ITEMS CONTAINED IN THIS DOCUMENT.
Today's Date *